|
Overview :
The Children's Coma Score can be used to evaluate the level
of consciousness in young children for whom the Glasgow Coma Score may be
inappropriate. This can help diagnose and monitor young children may have a
decreased level of consciousness following head injury or from other causes. The
authors are from Children's Memorial Hospital and Northwestern University in
Chicago.
Patient selection: young children 1 to 36 months of age
Parameters:
(1) ocular response
(2) verbal response
(3) motor response
|
Parameter |
Finding |
Points |
|
ocular response |
pursuit |
4 |
|
|
extra-ocular muscles intact AND pupils reactive |
3 |
|
|
extra-ocular muscles impaired OR pupils fixed |
2 |
|
|
extra-ocular muscles paralyzed AND pupils fixed |
1 |
|
verbal response |
cries |
3 |
|
|
spontaneous respirations |
2 |
|
|
apneic |
1 |
|
motor response |
flexes and extends |
4 |
|
|
withdraws from painful stimuli |
3 |
|
|
hypertonic |
2 |
|
|
flaccid |
1 |
total score =
= SUM(points for all 3 parameters)
Interpretation:
• minimum score: 3
• maximum score: 11
• The higher the score the better the level of
consciousness.
|
Children's Coma
Score |
Comparable Glasgow Coma
Score |
|
11 |
9 to
15 |
|
8, 9 or
10 |
5 to
8 |
|
3 to 7 |
3 or
4 |
|